Ultrasound-guided erector spine plane block (ESPB) utilization in managing refractory renal colic pain in the emergency department / 世界急诊医学杂志（英文）

@#Due to the acute and terrible pain that patients with renal colic experience, the most essential therapeutic priority for these patients in the emergency department (ED) is to reduce pain.[1] Although numerous medications are utilized to reduce pain in patients with acute renal colic, no therapy has yet been developed to totally and quickly relieve pain.[2,3] Intravenous opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly administered intravenously to control pain in these patients in the ED; however, the need for frequent monitoring for possible complications and relatively slow-acting features render these strategies undesirable.[4]

value of red cell distribution width [RDW] and trauma-associated severe hemorrhage [TASH] in predicting hospital mortality in multiple trauma patients

Objective: To investigate the role of red cell distribution width [RDW] in comparison with Trauma-Associated Severe Hemorrhage [TASH] system in predicting the mortality of multiple trauma patients, referred to the hospital emergency department

Methods: This follow-up study was conducted on multiple trauma patients [age = 18 years] with Injury Severity Scores [ISS] of = 16, who were referred to the emergency department from March 1, 2017, to December 1, 2017. First, all patients were evaluated based on the Advanced Trauma Life Support [ATLS] guidelines, and then, their blood samples were sent for RDW measurements at baseline and 24 hours after admission. The ISS, Revised Trauma Score [RTS], and TASH were measured in the follow-ups and recorded by third-year emergency medicine residents. Hospital mortality was considered as the outcome of the study

Results: In this study, 200 out of 535 multiple trauma patients were recruited. The frequency of hospital mortality was 19 [9.5%]. In the univariate analysis, there was no significant relationship between hospital mortality and RDW at baseline, RDW on the first day, and ?RDW [RDW at baseline - RDW on the first day], unlike ISS, RTS, TASH [p=0.97, P= 0.28, and p=0.24, respectively]. On the other hand, in the multivariate analysis, ISS, RTS, and TASH showed a significant relationship with hospital mortality. The greatest area under the ROC curve [AUC] was attributed to TASH and RTS systems [0.94 and 0.93, respectively]

Conclusion: TASH scoring system, which was mainly designed to predict the need for massive transfusion, may be of prognostic value for hospital mortality in multiple trauma patients, similar to ISS and RTS scoring systems